Correlation between combined deflection angle classification adduction typing and complications after internal fixation of adduction femoral neck fracture_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

DONG Yiping ^1,2 , LUO Congcong ^1,2 , ZHANG Ning ^2,3 , YOU Ruonan ^1,2 , YUAN Qiang ² , LI Wuyin ² ,  ZHANG Ying ² , DONG Yiping ^1,2 , LUO Congcong ^1,2 , ZHANG Ning ^2,3 , YOU Ruonan ^1,2 , YUAN Qiang ² , LI Wuyin ² ,  ZHANG Ying ²

1. Graduate School of Henan University of Traditional Chinese Medicine, Zhengzhou Henan, 450046, P. R. China;
2. The Fifth Department of Hip Joint, Luoyang Orthopedic-Traumatological of Henan Province (Henan Provincial Orthopedic Hospital), Luoyang Henan, 471002, P. R. China;
3. Graduate School of Hunan University of Traditional Chinese Medicine, Changsha Hunan, 410208, P. R. China;

Corresponding?author：

ZHANG Ying, Email: xylrw5@163.com; ZHANG Ying, Email: xylrw5@163.com

Keywords：

Femoral neck fracture; complication; combined deflection angle; Garden classification; fracture line location

DOI：

10.7507/1002-1892.202401063

Video：

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Objective To analyze the correlation between postoperative complications and combined deflection angle classification adduction type (CDAC-ADT) of femoral neck fractures after cannulated screw internal fixation. Methods The clinical data of 121 patients with CDAC-ADT femoral neck fracture admitted between January 2018 and December 2021 and met the selected criteria were retrospectively analyzed. There were 69 males and 52 females, the age ranged from 19 to 79 years (mean, 48.1 years). The causes of injury included 52 cases of traffic accident, 24 cases of falling from height, and 45 cases of fall. The time from injury to operation ranged from 2 to 12 days, with an average of 6.0 days. Among them, there were 18 cases of CDAC-ADT type Ⅰ, 46 cases of type Ⅱ, and 57 cases of type Ⅲ; 6 cases of Garden type Ⅱ, 103 cases of type Ⅲ, and 12 cases of type Ⅳ; and according to the location of the fracture line, there were 26 cases of subcapitate type, 88 cases of transcervical type, and 7 cases of basal type. All patients were treated with cannulated screw internal fixation. The occurrence of complications (including internal fixation failure, fracture nonunion, and osteonecrosis of the femoral head) was recorded, and the correlation between complications and CDAC-ADT typing, Garden typing, and fracture line location were analyzed. Results The patients were followed up 8-44 months, with a mean of 24.9 months. There were 10 cases of internal fixation failure, 7 cases of fracture nonunion, and 30 cases of osteonecrosis of the femoral head after operation. Correlation analysis showed that patients’ CDAC-ADT typing was significantly correlated with the overall incidence of complication and the incidence of internal fixation failure, fracture nonunion, and osteonecrosis of the femoral head (P<0.05), and the Pearson coefficient of contingency were 0.435, 0.251, 0.254, and 0.241, respectively. Garden typing did not correlate with the overall incidence of complication and the incidence of internal fixation failure and fracture nonunion (P>0.05), but correlated with the incidence of osteonecrosis of the femoral head (P<0.05), and the Pearson coefficient of contingency was 0.251. Fracture line position typing had no correlation with the overall incidence of complication and the incidence of internal fixation failure, fracture nonunion, and osteonecrosis of the femoral head (P>0.05). Conclusion CDAC-ADT typing has obvious correlation with postoperative complications of femoral neck fracture and can be used to predict complications of femoral neck fracture.

Citation： DONG Yiping, LUO Congcong, ZHANG Ning, YOU Ruonan, YUAN Qiang, LI Wuyin, ZHANG Ying. Correlation between combined deflection angle classification adduction typing and complications after internal fixation of adduction femoral neck fracture. Chinese Journal of Reparative and Reconstructive Surgery, 2024, 38(4): 405-411. doi: 10.7507/1002-1892.202401063 Copy

1.	Bastard C. Femoral neck fracture. Rev Prat, 2019, 69(10): 1124-1128.
2.	Bastard C. Femoral neck fracture. Rev Prat, 2019, 69(10): 1124-1128.
3.	Hu H, Cheng J, Feng M, et al. Clinical outcome of femoral neck system versus cannulated compression screws for fixation of femoral neck fracture in younger patients. J Orthop Surg Res, 2021, 16(1): 370. doi: 10.1186/s13018-021-02517-z.
4.	Hu H, Cheng J, Feng M, et al. Clinical outcome of femoral neck system versus cannulated compression screws for fixation of femoral neck fracture in younger patients. J Orthop Surg Res, 2021, 16(1): 370. doi: 10.1186/s13018-021-02517-z.
5.	Marchand LS, Butler B, McKegg P, et al. Fixed angle device comparison in young femoral neck fractures: Dynamic hip screw vs dynamic helical hip system. Injury, 2022, 53(2): 590-595.
6.	Marchand LS, Butler B, McKegg P, et al. Fixed angle device comparison in young femoral neck fractures: Dynamic hip screw vs dynamic helical hip system. Injury, 2022, 53(2): 590-595.
7.	Wan L, Zhang X, Wu D, et al. Application of robot positioning for cannulated screw internal fixation in the treatment of femoral neck fracture: Retrospective study. JMIR Med Inform, 2021, 9(1): e24164. doi: 10.2196/24164.
8.	Wan L, Zhang X, Wu D, et al. Application of robot positioning for cannulated screw internal fixation in the treatment of femoral neck fracture: Retrospective study. JMIR Med Inform, 2021, 9(1): e24164. doi: 10.2196/24164.
9.	韓春霞, 鄭嘉祺, 王煥, 等. 神經網絡預測股骨頸骨折術后并發癥的價值. 同濟大學學報(醫學版), 2022, 43(2): 174-180.
10.	韓春霞, 鄭嘉祺, 王煥, 等. 神經網絡預測股骨頸骨折術后并發癥的價值. 同濟大學學報(醫學版), 2022, 43(2): 174-180.
11.	Slobogean GP, Sprague SA, Scott T, et al. Complications following young femoral neck fractures. Injury, 2015, 46(3): 484-491.
12.	Slobogean GP, Sprague SA, Scott T, et al. Complications following young femoral neck fractures. Injury, 2015, 46(3): 484-491.
13.	Sprague S, Slobogean GP, Scott T, et al. Young femoral neck fractures: are we measuring outcomes that matter? Injury, 2015, 46(3): 507-514.
14.	Sprague S, Slobogean GP, Scott T, et al. Young femoral neck fractures: are we measuring outcomes that matter? Injury, 2015, 46(3): 507-514.
15.	靳穎哲, 尹博浩, 孫輝, 等. 青壯年股骨頸骨折病理形態學研究進展. 國際骨科學雜志, 2023, 44(2): 78-82.
16.	靳穎哲, 尹博浩, 孫輝, 等. 青壯年股骨頸骨折病理形態學研究進展. 國際骨科學雜志, 2023, 44(2): 78-82.
17.	Zhang Y, Yuan Q, Wei Q, et al. Combined deflection angle classification: A novel typing system of adult femoral neck fracture. Orthop Surg, 2023, 15(3): 839-850.
18.	Zhang Y, Yuan Q, Wei Q, et al. Combined deflection angle classification: A novel typing system of adult femoral neck fracture. Orthop Surg, 2023, 15(3): 839-850.
19.	Zhang YL, Zhang W, Zhang CQ. A new angle and its relationship with early fixation failure of femoral neck fractures treated with three cannulated compression screws. Orthop Traumatol Surg Res, 2017, 103(2): 229-234.
20.	Zhang YL, Zhang W, Zhang CQ. A new angle and its relationship with early fixation failure of femoral neck fractures treated with three cannulated compression screws. Orthop Traumatol Surg Res, 2017, 103(2): 229-234.
21.	Yin BH, Liu CJ, Sherrier MC, et al. Compressive buttress compared with off-axial screw fixation for vertical femoral neck fractures in young adults: a prospective, randomized controlled trial. J Orthop Surg Res, 2024, 19(1): 42. doi: 10.1186/s13018-023-04493-y.
22.	Yin BH, Liu CJ, Sherrier MC, et al. Compressive buttress compared with off-axial screw fixation for vertical femoral neck fractures in young adults: a prospective, randomized controlled trial. J Orthop Surg Res, 2024, 19(1): 42. doi: 10.1186/s13018-023-04493-y.
23.	中國醫師協會骨科醫師分會骨循環與骨壞死專業委員會, 中華醫學會骨科分會骨顯微修復學組, 國際骨循環學會中國區. 中國成人股骨頭壞死臨床診療指南(2020). 中華骨科雜志, 2020, 40(20): 1365-1376.
24.	中國醫師協會骨科醫師分會骨循環與骨壞死專業委員會, 中華醫學會骨科分會骨顯微修復學組, 國際骨循環學會中國區. 中國成人股骨頭壞死臨床診療指南(2020). 中華骨科雜志, 2020, 40(20): 1365-1376.
25.	Bernaus M, Slobogean GP, Bzovsky S, et al. Early radiographic union score for hip is predictive of femoral neck fracture complications within 2 years. J Orthop Trauma, 2020, 34(6): e195-e202.
26.	Bernaus M, Slobogean GP, Bzovsky S, et al. Early radiographic union score for hip is predictive of femoral neck fracture complications within 2 years. J Orthop Trauma, 2020, 34(6): e195-e202.
27.	賈川, 俞偉忠, 王雨辰, 等. 空心釘鋼板與動力抗旋交叉釘治療中青年股骨頸骨折的療效對比. 中國中醫骨傷科雜志, 2023, 31(12): 43-48.
28.	賈川, 俞偉忠, 王雨辰, 等. 空心釘鋼板與動力抗旋交叉釘治療中青年股骨頸骨折的療效對比. 中國中醫骨傷科雜志, 2023, 31(12): 43-48.
29.	Parker MJ, Raghavan R, Gurusamy K. Incidence of fracture-healing complications after femoral neck fractures. Clin Orthop Relat Res, 2007, 458: 175-179.
30.	Parker MJ, Raghavan R, Gurusamy K. Incidence of fracture-healing complications after femoral neck fractures. Clin Orthop Relat Res, 2007, 458: 175-179.
31.	王剛, 章樂成, 嚴超, 等. 空心螺釘內固定治療股骨頸骨折預后與Pauwels分型及Garden分型相關性研究. 國際骨科學雜志, 2019, 40(5): 311-314.
32.	王剛, 章樂成, 嚴超, 等. 空心螺釘內固定治療股骨頸骨折預后與Pauwels分型及Garden分型相關性研究. 國際骨科學雜志, 2019, 40(5): 311-314.
33.	張武, 唐雄, 袁尚鋒, 等. 股骨頸骨折內固定術患者89例術后隨訪分析. 中國中醫骨傷科雜志, 2023, 31(11): 51-55.
34.	張武, 唐雄, 袁尚鋒, 等. 股骨頸骨折內固定術患者89例術后隨訪分析. 中國中醫骨傷科雜志, 2023, 31(11): 51-55.
35.	Gao H, Liu Z, Xing D, et al. Which is the best alternative for displaced femoral neck fractures in the elderly?: A meta-analysis. Clin Orthop Relat Res, 2012, 470(6): 1782-1791.
36.	Gao H, Liu Z, Xing D, et al. Which is the best alternative for displaced femoral neck fractures in the elderly?: A meta-analysis. Clin Orthop Relat Res, 2012, 470(6): 1782-1791.
37.	吳升輝, 繆語, 朱曉中, 等. 股骨頸骨折對局部血供的損傷及評估——解剖基礎及其臨床運用進展. 中國骨傷, 2023, 36(3): 294-298.
38.	吳升輝, 繆語, 朱曉中, 等. 股骨頸骨折對局部血供的損傷及評估——解剖基礎及其臨床運用進展. 中國骨傷, 2023, 36(3): 294-298.
39.	Dou B, Mei J, Wang Z, et al. Histological observation of the retinacula of weitbrecht and its clinical significance: A cadaveric study. Indian J Orthop, 2018, 52(2): 202-208.
40.	Dou B, Mei J, Wang Z, et al. Histological observation of the retinacula of weitbrecht and its clinical significance: A cadaveric study. Indian J Orthop, 2018, 52(2): 202-208.
41.	Du CL, Ma XL, Zhang T, et al. Reunderstanding of garden type Ⅰ femoral neck fractures by 3-dimensional reconstruction. Orthopedics, 2013, 36(6): 820-825.
42.	Du CL, Ma XL, Zhang T, et al. Reunderstanding of garden type Ⅰ femoral neck fractures by 3-dimensional reconstruction. Orthopedics, 2013, 36(6): 820-825.
43.	Beimers L, Kreder HJ, Berry GK, et al. Subcapital hip fractures: the Garden classification should be replaced, not collapsed. Can J Surg, 2002, 45(6): 411-414.
44.	Beimers L, Kreder HJ, Berry GK, et al. Subcapital hip fractures: the Garden classification should be replaced, not collapsed. Can J Surg, 2002, 45(6): 411-414.
45.	Fu X, Xu GJ, Li ZJ, et al. Three-dimensional reconstruction modeling of the spatial displacement, extent and rotational orientation of undisplaced femoral neck fractures. Medicine (Baltimore), 2015, 94(39): e1393. doi: 10.1097/MD.0000000000001393.
46.	Fu X, Xu GJ, Li ZJ, et al. Three-dimensional reconstruction modeling of the spatial displacement, extent and rotational orientation of undisplaced femoral neck fractures. Medicine (Baltimore), 2015, 94(39): e1393. doi: 10.1097/MD.0000000000001393.
47.	樸海旺, 祖思源, 陳申跳, 等. 股骨頸骨折空心釘內固定術后股骨頸短縮的危險因素分析. 中國骨與關節損傷雜志, 2023, 38(12): 1238-1241.
48.	樸海旺, 祖思源, 陳申跳, 等. 股骨頸骨折空心釘內固定術后股骨頸短縮的危險因素分析. 中國骨與關節損傷雜志, 2023, 38(12): 1238-1241.
49.	Wang T, Sun JY, Zha GC, et al. Analysis of risk factors for femoral head necrosis after internal fixation in femoral neck fractures. Orthopedics, 2014, 37(12): e1117-e1123.
50.	Wang T, Sun JY, Zha GC, et al. Analysis of risk factors for femoral head necrosis after internal fixation in femoral neck fractures. Orthopedics, 2014, 37(12): e1117-e1123.
51.	鄭美亮, 李克鵬, 帖小佳, 等. 股骨頸骨折患者空心螺釘內固定術后股骨頭壞死的危險因素及其預測模型構建. 創傷外科雜志, 2023, 25(5): 354-360.
52.	鄭美亮, 李克鵬, 帖小佳, 等. 股骨頸骨折患者空心螺釘內固定術后股骨頭壞死的危險因素及其預測模型構建. 創傷外科雜志, 2023, 25(5): 354-360.
53.	冀家琛, 陳豪杰, 楊博, 等. 股骨頸動力交叉釘系統內固定治療股骨頸骨折術后早期股骨頭壞死的危險因素分析. 中國修復重建外科雜志, 2023, 37(2): 162-167.
54.	冀家琛, 陳豪杰, 楊博, 等. 股骨頸動力交叉釘系統內固定治療股骨頸骨折術后早期股骨頭壞死的危險因素分析. 中國修復重建外科雜志, 2023, 37(2): 162-167.
55.	江宜松, 彭昊. 股骨頸骨折患者內固定術后發生股骨頭壞死的相關因素分析. 生物骨科材料與臨床研究, 2022, 19(5): 51-54, 60.
56.	江宜松, 彭昊. 股骨頸骨折患者內固定術后發生股骨頭壞死的相關因素分析. 生物骨科材料與臨床研究, 2022, 19(5): 51-54, 60.
57.	劉冰川, 孫川, 邢永, 等. 中青年股骨頸骨折內固定術后發生缺血性股骨頭壞死的相關因素. 北京大學學報 (醫學版), 2020, 52(2): 290-297.
58.	劉冰川, 孫川, 邢永, 等. 中青年股骨頸骨折內固定術后發生缺血性股骨頭壞死的相關因素. 北京大學學報 (醫學版), 2020, 52(2): 290-297.

1. Bastard C. Femoral neck fracture. Rev Prat, 2019, 69(10): 1124-1128.
2. Bastard C. Femoral neck fracture. Rev Prat, 2019, 69(10): 1124-1128.
3. Hu H, Cheng J, Feng M, et al. Clinical outcome of femoral neck system versus cannulated compression screws for fixation of femoral neck fracture in younger patients. J Orthop Surg Res, 2021, 16(1): 370. doi: 10.1186/s13018-021-02517-z.
4. Hu H, Cheng J, Feng M, et al. Clinical outcome of femoral neck system versus cannulated compression screws for fixation of femoral neck fracture in younger patients. J Orthop Surg Res, 2021, 16(1): 370. doi: 10.1186/s13018-021-02517-z.
5. Marchand LS, Butler B, McKegg P, et al. Fixed angle device comparison in young femoral neck fractures: Dynamic hip screw vs dynamic helical hip system. Injury, 2022, 53(2): 590-595.
6. Marchand LS, Butler B, McKegg P, et al. Fixed angle device comparison in young femoral neck fractures: Dynamic hip screw vs dynamic helical hip system. Injury, 2022, 53(2): 590-595.
7. Wan L, Zhang X, Wu D, et al. Application of robot positioning for cannulated screw internal fixation in the treatment of femoral neck fracture: Retrospective study. JMIR Med Inform, 2021, 9(1): e24164. doi: 10.2196/24164.
8. Wan L, Zhang X, Wu D, et al. Application of robot positioning for cannulated screw internal fixation in the treatment of femoral neck fracture: Retrospective study. JMIR Med Inform, 2021, 9(1): e24164. doi: 10.2196/24164.
9. 韓春霞, 鄭嘉祺, 王煥, 等. 神經網絡預測股骨頸骨折術后并發癥的價值. 同濟大學學報(醫學版), 2022, 43(2): 174-180.
10. 韓春霞, 鄭嘉祺, 王煥, 等. 神經網絡預測股骨頸骨折術后并發癥的價值. 同濟大學學報(醫學版), 2022, 43(2): 174-180.
11. Slobogean GP, Sprague SA, Scott T, et al. Complications following young femoral neck fractures. Injury, 2015, 46(3): 484-491.
12. Slobogean GP, Sprague SA, Scott T, et al. Complications following young femoral neck fractures. Injury, 2015, 46(3): 484-491.
13. Sprague S, Slobogean GP, Scott T, et al. Young femoral neck fractures: are we measuring outcomes that matter? Injury, 2015, 46(3): 507-514.
14. Sprague S, Slobogean GP, Scott T, et al. Young femoral neck fractures: are we measuring outcomes that matter? Injury, 2015, 46(3): 507-514.
15. 靳穎哲, 尹博浩, 孫輝, 等. 青壯年股骨頸骨折病理形態學研究進展. 國際骨科學雜志, 2023, 44(2): 78-82.
16. 靳穎哲, 尹博浩, 孫輝, 等. 青壯年股骨頸骨折病理形態學研究進展. 國際骨科學雜志, 2023, 44(2): 78-82.
17. Zhang Y, Yuan Q, Wei Q, et al. Combined deflection angle classification: A novel typing system of adult femoral neck fracture. Orthop Surg, 2023, 15(3): 839-850.
18. Zhang Y, Yuan Q, Wei Q, et al. Combined deflection angle classification: A novel typing system of adult femoral neck fracture. Orthop Surg, 2023, 15(3): 839-850.
19. Zhang YL, Zhang W, Zhang CQ. A new angle and its relationship with early fixation failure of femoral neck fractures treated with three cannulated compression screws. Orthop Traumatol Surg Res, 2017, 103(2): 229-234.
20. Zhang YL, Zhang W, Zhang CQ. A new angle and its relationship with early fixation failure of femoral neck fractures treated with three cannulated compression screws. Orthop Traumatol Surg Res, 2017, 103(2): 229-234.
21. Yin BH, Liu CJ, Sherrier MC, et al. Compressive buttress compared with off-axial screw fixation for vertical femoral neck fractures in young adults: a prospective, randomized controlled trial. J Orthop Surg Res, 2024, 19(1): 42. doi: 10.1186/s13018-023-04493-y.
22. Yin BH, Liu CJ, Sherrier MC, et al. Compressive buttress compared with off-axial screw fixation for vertical femoral neck fractures in young adults: a prospective, randomized controlled trial. J Orthop Surg Res, 2024, 19(1): 42. doi: 10.1186/s13018-023-04493-y.
23. 中國醫師協會骨科醫師分會骨循環與骨壞死專業委員會, 中華醫學會骨科分會骨顯微修復學組, 國際骨循環學會中國區. 中國成人股骨頭壞死臨床診療指南(2020). 中華骨科雜志, 2020, 40(20): 1365-1376.
24. 中國醫師協會骨科醫師分會骨循環與骨壞死專業委員會, 中華醫學會骨科分會骨顯微修復學組, 國際骨循環學會中國區. 中國成人股骨頭壞死臨床診療指南(2020). 中華骨科雜志, 2020, 40(20): 1365-1376.
25. Bernaus M, Slobogean GP, Bzovsky S, et al. Early radiographic union score for hip is predictive of femoral neck fracture complications within 2 years. J Orthop Trauma, 2020, 34(6): e195-e202.
26. Bernaus M, Slobogean GP, Bzovsky S, et al. Early radiographic union score for hip is predictive of femoral neck fracture complications within 2 years. J Orthop Trauma, 2020, 34(6): e195-e202.
27. 賈川, 俞偉忠, 王雨辰, 等. 空心釘鋼板與動力抗旋交叉釘治療中青年股骨頸骨折的療效對比. 中國中醫骨傷科雜志, 2023, 31(12): 43-48.
28. 賈川, 俞偉忠, 王雨辰, 等. 空心釘鋼板與動力抗旋交叉釘治療中青年股骨頸骨折的療效對比. 中國中醫骨傷科雜志, 2023, 31(12): 43-48.
29. Parker MJ, Raghavan R, Gurusamy K. Incidence of fracture-healing complications after femoral neck fractures. Clin Orthop Relat Res, 2007, 458: 175-179.
30. Parker MJ, Raghavan R, Gurusamy K. Incidence of fracture-healing complications after femoral neck fractures. Clin Orthop Relat Res, 2007, 458: 175-179.
31. 王剛, 章樂成, 嚴超, 等. 空心螺釘內固定治療股骨頸骨折預后與Pauwels分型及Garden分型相關性研究. 國際骨科學雜志, 2019, 40(5): 311-314.
32. 王剛, 章樂成, 嚴超, 等. 空心螺釘內固定治療股骨頸骨折預后與Pauwels分型及Garden分型相關性研究. 國際骨科學雜志, 2019, 40(5): 311-314.
33. 張武, 唐雄, 袁尚鋒, 等. 股骨頸骨折內固定術患者89例術后隨訪分析. 中國中醫骨傷科雜志, 2023, 31(11): 51-55.
34. 張武, 唐雄, 袁尚鋒, 等. 股骨頸骨折內固定術患者89例術后隨訪分析. 中國中醫骨傷科雜志, 2023, 31(11): 51-55.
35. Gao H, Liu Z, Xing D, et al. Which is the best alternative for displaced femoral neck fractures in the elderly?: A meta-analysis. Clin Orthop Relat Res, 2012, 470(6): 1782-1791.
36. Gao H, Liu Z, Xing D, et al. Which is the best alternative for displaced femoral neck fractures in the elderly?: A meta-analysis. Clin Orthop Relat Res, 2012, 470(6): 1782-1791.
37. 吳升輝, 繆語, 朱曉中, 等. 股骨頸骨折對局部血供的損傷及評估——解剖基礎及其臨床運用進展. 中國骨傷, 2023, 36(3): 294-298.
38. 吳升輝, 繆語, 朱曉中, 等. 股骨頸骨折對局部血供的損傷及評估——解剖基礎及其臨床運用進展. 中國骨傷, 2023, 36(3): 294-298.
39. Dou B, Mei J, Wang Z, et al. Histological observation of the retinacula of weitbrecht and its clinical significance: A cadaveric study. Indian J Orthop, 2018, 52(2): 202-208.
40. Dou B, Mei J, Wang Z, et al. Histological observation of the retinacula of weitbrecht and its clinical significance: A cadaveric study. Indian J Orthop, 2018, 52(2): 202-208.
41. Du CL, Ma XL, Zhang T, et al. Reunderstanding of garden type Ⅰ femoral neck fractures by 3-dimensional reconstruction. Orthopedics, 2013, 36(6): 820-825.
42. Du CL, Ma XL, Zhang T, et al. Reunderstanding of garden type Ⅰ femoral neck fractures by 3-dimensional reconstruction. Orthopedics, 2013, 36(6): 820-825.
43. Beimers L, Kreder HJ, Berry GK, et al. Subcapital hip fractures: the Garden classification should be replaced, not collapsed. Can J Surg, 2002, 45(6): 411-414.
44. Beimers L, Kreder HJ, Berry GK, et al. Subcapital hip fractures: the Garden classification should be replaced, not collapsed. Can J Surg, 2002, 45(6): 411-414.
45. Fu X, Xu GJ, Li ZJ, et al. Three-dimensional reconstruction modeling of the spatial displacement, extent and rotational orientation of undisplaced femoral neck fractures. Medicine (Baltimore), 2015, 94(39): e1393. doi: 10.1097/MD.0000000000001393.
46. Fu X, Xu GJ, Li ZJ, et al. Three-dimensional reconstruction modeling of the spatial displacement, extent and rotational orientation of undisplaced femoral neck fractures. Medicine (Baltimore), 2015, 94(39): e1393. doi: 10.1097/MD.0000000000001393.
47. 樸海旺, 祖思源, 陳申跳, 等. 股骨頸骨折空心釘內固定術后股骨頸短縮的危險因素分析. 中國骨與關節損傷雜志, 2023, 38(12): 1238-1241.
48. 樸海旺, 祖思源, 陳申跳, 等. 股骨頸骨折空心釘內固定術后股骨頸短縮的危險因素分析. 中國骨與關節損傷雜志, 2023, 38(12): 1238-1241.
49. Wang T, Sun JY, Zha GC, et al. Analysis of risk factors for femoral head necrosis after internal fixation in femoral neck fractures. Orthopedics, 2014, 37(12): e1117-e1123.
50. Wang T, Sun JY, Zha GC, et al. Analysis of risk factors for femoral head necrosis after internal fixation in femoral neck fractures. Orthopedics, 2014, 37(12): e1117-e1123.
51. 鄭美亮, 李克鵬, 帖小佳, 等. 股骨頸骨折患者空心螺釘內固定術后股骨頭壞死的危險因素及其預測模型構建. 創傷外科雜志, 2023, 25(5): 354-360.
52. 鄭美亮, 李克鵬, 帖小佳, 等. 股骨頸骨折患者空心螺釘內固定術后股骨頭壞死的危險因素及其預測模型構建. 創傷外科雜志, 2023, 25(5): 354-360.
53. 冀家琛, 陳豪杰, 楊博, 等. 股骨頸動力交叉釘系統內固定治療股骨頸骨折術后早期股骨頭壞死的危險因素分析. 中國修復重建外科雜志, 2023, 37(2): 162-167.
54. 冀家琛, 陳豪杰, 楊博, 等. 股骨頸動力交叉釘系統內固定治療股骨頸骨折術后早期股骨頭壞死的危險因素分析. 中國修復重建外科雜志, 2023, 37(2): 162-167.
55. 江宜松, 彭昊. 股骨頸骨折患者內固定術后發生股骨頭壞死的相關因素分析. 生物骨科材料與臨床研究, 2022, 19(5): 51-54, 60.
56. 江宜松, 彭昊. 股骨頸骨折患者內固定術后發生股骨頭壞死的相關因素分析. 生物骨科材料與臨床研究, 2022, 19(5): 51-54, 60.
57. 劉冰川, 孫川, 邢永, 等. 中青年股骨頸骨折內固定術后發生缺血性股骨頭壞死的相關因素. 北京大學學報 (醫學版), 2020, 52(2): 290-297.
58. 劉冰川, 孫川, 邢永, 等. 中青年股骨頸骨折內固定術后發生缺血性股骨頭壞死的相關因素. 北京大學學報 (醫學版), 2020, 52(2): 290-297.

Chinese Journal of Reparative and Reconstructive Surgery

Correlation between combined deflection angle classification adduction typing and complications after internal fixation of adduction femoral neck fracture

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